Ke lohe kākou i ka huaʻōlelo "maʻi kanesa," nui ka poʻe o kākou e hopohopo nui nei. He mea maʻamau loa ia. Akā i kēia lā, ua holomua nui ka ʻepekema. ʻO ia ke kumu ʻaʻole he maʻi hiki ʻole ke hoʻōla ʻia ka maʻi kanesa. Aia ma mua o hoʻokahi haneli mau ʻano maʻi kanesa, a aia nā lāʻau lapaʻau kūikawā no kēlā me kēia o lākou i kēia lā. No laila, inā ua ʻike ʻia ʻoe a i ʻole kekahi mea kokoke iā ʻoe me ka maʻi kanesa, ma mua o kou hopohopo, e kamaʻilio iki kākou e pili ana i kēia mau lāʻau lapaʻau.
Pehea e hoʻoholo ʻia ai ka lāʻau lapaʻau no ka maʻi kanesa?
E hoʻomanaʻo, ʻaʻole mālama ʻia nā maʻi āpau me ka lāʻau like. ʻAʻole mālama ʻia nā ʻū a pau me ka lāʻau like no ke kuni. Pēlā nō ia me ke kanesa. E nānā ke kauka maʻi kanesa e mālama iā ʻoe i kekahi mau mea e hoʻoholo ai i ka lāʻau lapaʻau kūpono loa iā ʻoe.
I ka ʻōlelo maʻalahi, eia nā mea a lākou e noʻonoʻo nui ai:
- ʻAno maʻi ʻaʻai: He aha ke ʻano maʻi ʻaʻai āu. ʻOkoʻa paha ka mālama ʻana no ka maʻi ʻaʻai umauma mai ka mālama ʻana no ka maʻi ʻaʻai māmā.
- Ke kahua o ke kanesa: Pehea ka mamao o ka laha ʻana o ke kanesa a me kona nui. He ʻokoʻa ka mālama ʻana no ke kanesa o ke kahua mua mai ka mālama ʻana no ke kanesa ʻoi aku ka holomua.
- ʻO ka wikiwiki o ka ulu ʻana o ke kanesa: Māhele koke kekahi mau hunaola kanesa, ʻo ia hoʻi he "hoʻouka kaua" loa lākou. Lohi loa ka ulu ʻana o kekahi. Hoʻoholo pū kēia wikiwiki i ka lāʻau lapaʻau.
- Kou olakino holoʻokoʻa: Hiki iā ʻoe ke ʻae i kēia lāʻau lapaʻau? He mea nui kou mau makahiki a inā he mau maʻi ʻē aʻe kāu ma ʻaneʻi.
- Nā Pahuhopu Lapaʻau: I kekahi manawa ʻo ka pahuhopu nui o ka lapaʻau ʻana, ʻo ia ka hoʻōla loa ʻana i ke kanesa. I kekahi manawa, ʻo ka pahuhopu ka kaohi ʻana i ke kanesa, hoʻēmi i nā hōʻailona, a kōkua iā ʻoe e noho ʻoluʻolu (ua kapa ʻia kēia he mālama palliative ).
Ke kuhikuhi mai kāu kauka i kahi lāʻau lapaʻau nou, he mea nui e hoʻomaopopo pono ʻoe i ke kumu e hāʻawi ʻia ai. Mai makaʻu e nīnau.
He aha kēia mau lāʻau lapaʻau nui no ka maʻi kanesa?
Aia kekahi mau manawa hoʻokahi wale nō ʻano hana e hoʻohana ʻia ai ma ke ʻano he lāʻau lapaʻau no ka maʻi kanesa. Akā i ka hapa nui o ka manawa, hana ʻia ka hoʻolālā lapaʻau ma ka hoʻohui ʻana i kekahi mau ʻano lapaʻau. E nānā kākou i kēia mau ʻano lapaʻau nui.
1. ʻoki kino
ʻO kēia ke ʻano maʻamau i hoʻohana ʻia e wehe i nā puʻupuʻu kanesa i laha ʻole. I ka wā o ke ʻoki ʻana, wehe nā kauka i ka ʻāpana o ka puʻupuʻu e loaʻa ana nā hunaola kanesa me kahi liʻiliʻi o nā ʻiʻo olakino a puni. A laila nānā ʻia nā ʻiʻo olakino i wehe ʻia e ʻike inā aia kekahi mau hunaola kanesa.
Akā, ʻaʻole hiki ke mālama ʻia nā maʻi kanesa āpau me ke ʻoki kino. No ka laʻana, inā ua pālahalaha ke kanesa i kahi ʻōkana koʻikoʻi e like me ka puʻuwai a i ʻole ka lolo, a inā ua pili ia me kahi kīʻaha koko nui, hiki i ke ʻoki kino ke lilo i mea pilikia. Eia kekahi, ʻaʻole hiki ke wehe ʻia nā maʻi kanesa koko a i ʻole nā maʻi kanesa i pālahalaha a puni ke kino (metastasized cancer) me ke ʻoki kino wale nō.
2. Hoʻōla Radiation
Pili kēia i ka hoʻohana ʻana i ka radiation ikehu kiʻekiʻe (like me nā kukuna X, akā ʻoi aku ka ikaika) e luku i nā hunaola kanesa. Hoʻopōʻino kēia radiation i ka DNA o nā hunaola kanesa, e hoʻōki ai i ka māhele ʻana a make.
Aia kekahi mau ʻano hana nui no kēia:
- ʻO ka Lapaʻau Hawewe Kūwaho (EBRT): Hoʻokele kahi mīkini nui ma waho o ke kino i kahi kukuna o ka radiation i kuhikuhi wale ʻia i kahi o ke kanesa.
- Lapaʻau Kukui Kūloko: Hoʻokomo ʻia nā pellets radioactive liʻiliʻi loa i loko a i ʻole kokoke i ka puʻupuʻu. Hoʻopau kēia i nā hunaola kanesa mai loko mai.
- Lapaʻau Hyperthermia: Hoʻohana kēia i ka wela e luku i nā hunaola kanesa. I kekahi manawa ʻoi aku ka maikaʻi o kēia ʻano hana i nā lāʻau ʻē aʻe (e like me ka chemotherapy).
I ka manawa pinepine, ma hope o ke ʻoki ʻana, hoʻohana ʻia kēia lāʻau lapaʻau radiation e luku ai i nā hunaola kanesa liʻiliʻi loa e koe.
3. Kemoterapi
ʻO ka Chemotherapy, a i ʻole "chemo" e like me kā mākou e kapa nei, he ʻano lāʻau lapaʻau ia i hāʻawi ʻia e pepehi i nā hunaola kanesa. Ke komo kēia mau lāʻau lapaʻau i ke kahe koko o ke kino, hele lākou ma ke kino holoʻokoʻa me ke koko. ʻO ka mea kūikawā o kēia mau lāʻau lapaʻau, ʻo ia ka ʻimi ʻana a me ka luku ʻana i nā hunaola e māhele wikiwiki ana i loko o ke kino. ʻO nā hunaola kanesa kekahi ʻano hunaola e māhele wikiwiki loa ana, no laila luku nā lāʻau chemo iā lākou.
He lāʻau lapaʻau kūpono loa kēia no nā maʻi ʻaʻai i laha a puni ke kino, a no nā maʻi ʻaʻai i hoʻi hou mai ma hope o ka lāʻau lapaʻau.
4. Hoʻōla Hormone
Kōkua kekahi mau hormones i loko o ko kākou kino (ʻoi aku hoʻi nā hormones moekolohe) i kekahi mau ʻano maʻi kanesa e ulu. E noʻonoʻo i kēia ʻano: e like me ka mea kanu e pono ai ka wai a me nā meaʻai e ulu ai, pono kekahi mau maʻi kanesa i nā hormones e ulu ai. Hana kēia lāʻau lapaʻau ma ka hōʻemi ʻana a i ʻole ka hoʻōki ʻana i ka hana o kēlā mau hormones.
Hoʻohana pinepine ʻia kēia ʻano lapaʻau no kekahi mau ʻano maʻi kanesa, e like me ke kanesa o ka umauma a me ke kanesa o ka prostate.
5. Hoʻōla lāʻau pale
He lāʻau lapaʻau hoihoi loa kēia. I ka pōkole, hoʻomaʻamaʻa ia i kāu ʻōnaehana pale ponoʻī e hakakā i ka maʻi kanesa.
ʻO ka maʻamau, hiki i kā mākou ʻōnaehana pale ke ʻike a luku i nā mea e like me nā germs a me nā virus e komo i loko o ke kino. Akā, he maalea loa nā cell cancer. Ua ʻike lākou pehea e peʻe ai mai kā mākou ʻōnaehana pale. No laila, ʻo ka hana a kēia lāʻau lapaʻau, ʻo ia ke kōkua i ka ʻōnaehana pale e ʻike i nā cell cancer e peʻe ana pēlā. A laila, komo ka "pūʻali koa" o ko mākou kino ponoʻī a luku i nā cell cancer.
6. Hoʻōla i kuhikuhi ʻia
He lāʻau lapaʻau hou kēia a holomua loa. Hoʻomohala nā hunaola kanesa ma muli o nā loli (mutation) i loko o kā lākou DNA. ʻO kēia mau loli ke kumu o nā hunaola kanesa e hana i nā protein kūikawā e kōkua iā lākou e ulu. ʻO ka lāʻau lapaʻau i kuhikuhi ʻia kahi ʻano lāʻau lapaʻau e kuhikuhi pono ana a hoʻouka i kēlā mau protein kikoʻī.
Ua like kēia me kahi "missile akamai" e hoʻouka wale ana i nā pahuhopu ʻenemi i ke kaua, e pale ana i ka pōʻino i nā kānaka maʻamau. ʻO ke ʻano kēia, he kakaikahi loa ka pōʻino i nā ʻāpana olakino.
ʻEkolu mau ʻōlelo hou aʻe e ʻike ai e pili ana i ka mālama ʻana
E lohe paha ʻoe i ke kauka e hoʻohana ana i nā huaʻōlelo e like me kēia i ka wehewehe ʻana i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o ka ʻike wale i ko lākou manaʻo.
| Noi ʻepekema lapaʻau | Manaʻo maʻalahi |
|---|---|
| Lapaʻau Mua | ʻO kēia ke ʻano lapaʻau nui no ka maʻi kanesa. I ka hapanui o nā hihia, hiki ke hana ʻoki kino. |
| Lapaʻau Kōkua | Nā lāʻau lapaʻau hou aʻe i hāʻawi ʻia ma hope o ka lāʻau lapaʻau nui (e.g. ʻoki kino) e kāohi i ka hoʻi hou ʻana mai o ke kanesa. Hiki ke hāʻawi ʻia ka chemotherapy a i ʻole ka radiation therapy ma kēia ʻano. |
| Lapaʻau Neoadjuvant (ma mua o ka mālama ʻana) | ʻO ka lāʻau lapaʻau i hāʻawi ʻia ma mua o ka lāʻau lapaʻau nui. No ka laʻana, ʻo ka hāʻawi ʻana i ka chemotherapy ma mua o ka hāʻawi ʻia ʻana o kahi puʻupuʻu kanesa nui e hoʻēmi iā ia i hiki ke wehe maʻalahi ʻia ma ke ʻoki ʻana. |
E aʻo pū kākou e pili ana i nā hopena ʻaoʻao o nā lāʻau lapaʻau.
Ke pepehi nā lāʻau lapaʻau maʻi kanesa i nā hunaola maʻi kanesa, hiki iā lākou ke hōʻino i nā hunaola olakino i loko o ko kākou kino. ʻO ia ke kumu e loaʻa ai nā hopena ʻaoʻao. Akā e hoʻomanaʻo, ʻaʻole loaʻa i nā kānaka a pau nā hopena ʻaoʻao like. Hiki i kekahi poʻe ke hoʻopau i ka lāʻau me ka ʻole o nā pilikia.
E nānā kākou i nā hopena ʻaoʻao maʻamau.
| ʻAno o ka hopena ʻaoʻao | Nā mea i ʻike pinepine ʻia |
|---|---|
| Nā hopena ʻaoʻao pōkole (e kū mai ana i ka wā o ka mālama ʻana) |
|
| Nā hopena ʻaoʻao lōʻihi (hiki ke loaʻa ma hope o ka mālama ʻana) |
|
Mai makaʻu i kēia mau hopena ʻaoʻao. Aia nā lāʻau lapaʻau a me nā ʻano hana i loaʻa i kēia lā e hiki ke hoʻokele a hōʻemi i kēia mau mea āpau. E kamaʻilio me kāu kauka e pili ana i kekahi ʻeha āu e ʻike ai.
Pehea e hiki ai iaʻu ke hoʻomaʻalahi iki i kēia wā lapaʻau noʻu?
Hiki ke paʻakikī ke hele ʻana i ka mālama ʻana i ka maʻi kanesa, ma ke kino a me ka noʻonoʻo. Akā aia kekahi mau mea hiki iā ʻoe ke hana e maʻalahi iki ai iā ʻoe iho.
- E ʻike: E aʻo i nā mea āpau e hiki ai iā ʻoe e pili ana i kou kūlana a me ka lāʻau lapaʻau. ʻO ka nui o kou ʻike, ʻo ka emi ʻana o ka makaʻu pono ʻole āu e loaʻa ai.
- E nīnau i nā nīnau: E nīnau i kāu kauka a me nā kahu maʻi i nā nīnau āu e loaʻa ai. Mai manaʻo, "He nīnau lapuwale anei kēia?"
- E noi i ke kōkua: He mea paʻakikī paha iā ʻoe ke hana i nā mea āpau me ʻoe iho i kēia manawa. Mai hilahila e noi i ke kōkua mai ka ʻohana a me nā hoaaloha.
- ʻAi maikaʻi: E ʻai i ka meaʻai maikaʻi a momona hoʻi e like me ka hiki. E hāʻawi kēia i kou kino i ka ikaika e kū i ka lāʻau lapaʻau.
- E kamaʻilio me nā poʻe i loaʻa nā ʻike like: E hui pū me nā hui kākoʻo no nā maʻi kanesa. ʻO ke kamaʻilio ʻana me kahi mea i loaʻa i ka mea like me ʻoe hiki ke lilo i kumu nui o ka ikaika noʻonoʻo.
Āhea wau e kāhea aku ai i kaʻu kauka?
Inā ʻike ʻoe i kekahi mau loli hou i kou kino, nā hōʻailona hou, a i ʻole ka hoʻonui ʻia o ka ʻoluʻolu ʻole i ka wā o kāu mālama ʻana, e haʻi koke aku i kāu kauka. Mai hoʻowahāwahā iā ia me he mea liʻiliʻi lā.
I kekahi manawa, hiki ke hāʻawi ʻia ka lāʻau lapaʻau e kāohi i nā hōʻailona. I kekahi manawa, pono paha e hoʻololi ʻia ka nui o kāu lāʻau lapaʻau a i ʻole ke ʻano lapaʻau. No laila, he mea nui e mālama mau i ka launa pū ʻana me kāu kauka.
Leka Lawe-Home
- Mai makaʻu i ka huaʻōlelo kanesa. I kēia lā, aia nā lāʻau lapaʻau holomua e hiki ke ho'ōla a kāohi i nā ʻano kanesa he nui me ka maikaʻi loa.
- E hoʻoholo ʻia ka lāʻau lapaʻau āu e loaʻa ai e nā kumu he nui, me ke ʻano o ka maʻi kanesa, ke kahua, a me kou olakino holoʻokoʻa.
- ʻO ke ʻoki kino, ka chemotherapy, a me ka radiation therapy kekahi o nā ʻano lapaʻau nui. ʻO ka pahuhopu o kēlā me kēia, ʻo ia ka luku ʻana i nā hunaola kanesa.
- Hiki i nā lāʻau lapaʻau āpau ke hana i nā hopena ʻaoʻao, akā hiki ke mālama ʻia ka hapa nui. E kamaʻilio me kāu kauka e pili ana i kekahi ʻeha āu e ʻike nei.
- ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia kou ʻohana, nā hoaaloha, a me ke kime lapaʻau e kōkua iā ʻoe. E kiʻi i kā lākou kākoʻo.











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